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abdominal pain, lower right quadrant
As a man, I have lower right quadrant abdominal pain when I sit or in some laying-down positions, but rarely when standing or walking.  While the pain is mild to moderate, it is disconcerting. Scans have shown nothing.  My doctor seems to think if it hasn't killed me in 4-5 years, it can't be too important.  That's because he doesn't have it.  Any ideas out there?

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Hi,

'Lower right abdominal pain shall be defined as abdominal pain occurring to the right of an imaginary line drawn below the belly button or umbilicus.'

http://www.abdopain.com/lower-right-abdominal-pain.html

You need to consult a doctor to rule out appendicitis, kidney stones, diverticulitis, crohn's disease, pelvic inflammatory disease etc.

The further plan of management would involve -

'-Blood tests including full blood count, electrolytes, urea, creatinine, liver function tests, pregnancy test and lipase.
-Urinalysis
-Imaging including erect chest X-ray and plain films of the abdomen
-An electrocardiograph to rule out a heart attack which can occasionally present as abdominal pain

If diagnosis remains unclear after history, examination and basic investigations as above then more advanced investigations may reveal a diagnosis. These as such would include

-Computed Tomography of the abdomen/pelvis
-Abdominal or pelvic ultrasound
-Endoscopy and colonoscopy'

http://en.wikipedia.org/wiki/Abdominal_pain

Let us know about what your doctor advises and if you need any further information.

Regards.
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